thedailybeast.com — My brother-in-law Vincent sits with me as I finish this piece. He is intellectually disabled and has been repeatedly hospitalized, most recently last week. As someone who relies on Medicare, he will be deeply affected by the outcome of this election. Yet Vincent, like millions of others, doesn’t only rely on Medicare; he relies on Medicaid, too. While Democrats have been hammering Mitt Romney and Paul Ryan on Medicare over the past week, lambasting their proposal to convert the program to vouchers, far less attention has been paid to the Republican duo’s plans for Medicaid—even though, for many people, the fates of the two programs are closely linked. Medicaid has always been Medicare’s essential backstop. About one third of Medicare spending finances services for “dual-eligibles”—nine million people who, like Vincent, are eligible for both programs, and who often have complex needs. So what do Romney and Ryan have in store for dual-eligibles?
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